Organization
COOL BEANS THERAPY CLUBHOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN R CROME MOT, OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(704) 237-4105
Entity
Organization
Contact information
Practice address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(704) 237-4105
(704) 237-4107
Mailing address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(704) 237-4105
(704) 237-4107
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
03/26/2021
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